Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alton Keith Daugherty, LCDCIII

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1770083982

Alton Keith Daugherty, LCDCIII is an Addiction (Substance Use Disorder) Counselor in Moraine, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2018

Practice location Address checks out

200 Daruma Pkwy
Moraine, OH 45439-7909
Phone: (937) 963-5522
Fax: (937) 496-5216
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 161525 (OH)

Record details

NPI number1770083982
Entity typeIndividual (Type 1)
GenderMale
Credentials LCDCIII
Sole proprietorYes
NPI enumeratedFebruary 14, 2018
Last updated in NPPESFebruary 14, 2018

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